2020-11-13T16:45:32-06:00 2019-12-31 113518842 MARKS PANETH LLP 685 THIRD AVENUE NEW YORK NY 10017 990 2019-01-01 135669201 PUBLIC HEALTH SOLUTIONS PUBL 6466196400 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 LISA DAVID PRESIDENT & CEO 6466196400 2020-11-11 1 ROBERT R LYONS CPA P00227472 2125038800 2020-11-11 98.109.110.37 2020-11-11 21:15:29 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E99CEA45C307B5E011B655275064C3D25F8033D4 2019 2021-01-29 14:40:06Z LISA DAVID 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 241570292 0 X WWW.HEALTHSOLUTIONS.ORG X 1957 NY PUBLIC HEALTH SOLUTIONS' MISSION IS TO SUPPORT VULNERABLE FAMILIES IN NEW YORK CITY ACHIEVING OPTIMAL HEALTH AND BUILDING PATHWAYS TO REACH THEIR POTENTIAL. WE FOCUS ON A WIDE RANGE OF PUBLIC HEALTH ISSUES THAT OVERWHELMINGLY AFFECT THE ABILITY OF UNDERSERVED NEW YORKERS TO LIVE THEIR HEALTHIEST LIFE. THESE ISSUES INCLUDE FOOD AND NUTRITION, HEALTH INSURANCE, MATERNAL AND CHILD HEALTH, REPRODUCTIVE AND SEXUAL HEALTH, TOBACCO CONTROL, AND HIV/AIDS. OUR APPROACH IS MULTI-PRONGED. WE PROVIDE SERVICES WITHIN COMMUNITIES THAT NEED THEM MOST; WE CONDUCT INDEPENDENT RESEARCH TO EVALUATE OUR IMPACT, HIGHLIGHT PUBLIC HEALTH TOPICS, AND HELP DRIVE POLICY; AND WE LEAD HIGHLY SUCCESSFUL PUBLIC-PRIVATE PARTNERSHIPS WITH GOVERNMENT AGENCIES TO SUPPORT THE WORK OF HUNDREDS OF COMMUNITY-BASED ORGANIZATIONS THROUGHOUT THE CITY. 23 23 603 23 0 0 253763515 240115687 1557285 1315183 23222 44613 51893 26003 255395915 241501486 0 0 0 0 34160793 34462332 0 0 397251 218516630 205049731 252677423 239512063 2718492 1989423 57977702 57740726 76966007 80311586 -18988305 -22570860 X HEALTH DISPARITIES AMONG NEW YORKERS ARE LARGE, PERSISTENT AND INCREASING. PUBLIC HEALTH SOLUTIONS (PHS) EXISTS TO CHANGE THAT TRAJECTORY, AND SUPPORT VULNERABLE NEW YORKERS IN ACHIEVING OPTIMAL HEALTH AND BUILDING PATHWAYS TO REACH THEIR POTENTIAL. AS THE LARGEST PUBLIC HEALTH NONPROFIT SERVING NEW YORK CITY, WE IMPROVE HEALTH OUTCOMES AND HELP COMMUNITIES THRIVE BY PROVIDING SERVICES DIRECTLY TO VULNERABLE LOW-INCOME FAMILIES, AND SUPPORTING 200 COMMUNITY-BASED ORGANIZATIONS THROUGH OUR LONG-STANDING PUBLIC-PRIVATE PARTNERSHIPS. WE FOCUS ON A WIDE RANGE OF PUBLIC HEALTH ISSUES THAT OVERWHELMINGLY AFFECT THE ABILITY OF UNDERSERVED NEW YORKERS TO LIVE THEIR HEALTHIEST LIFE. THESE ISSUES INCLUDE FOOD AND NUTRITION, HEALTH INSURANCE, MATERNAL AND CHILD HEALTH, REPRODUCTIVE AND SEXUAL HEALTH, TOBACCO CONTROL, AND HIV/AIDS. PHS HAS A STRONG FOCUS ON HEALTH EQUITY TO ENSURE FAMILIES IN NEW YORK CITY HAVE THE BASICS FOR A HEALTHIER LIFE. 0 0 145047199 HIV/AIDS. PHS CONTRACTS WITH THE NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE (NYCDOHMH) TO ADMINISTER FEDERAL, STATE, AND LOCAL FUNDING TO SUPPORT OVER 200 COMMUNITY-BASED ORGANIZATIONS AND HOSPITALS IN THE DELIVERY OF HIV PREVENTION AND CARE SERVICES. OUR APPROACH IS TWO-FOLD: WE COLLABORATE WITH GOVERNMENT AGENCIES, SERVICE PROVIDERS, AND INDIVIDUALS TO ENSURE THAT PUBLIC FUNDS FOR A COMPREHENSIVE NETWORK OF SERVICES ARE AVAILABLE FOR THOSE LIVING WITH AND AT RISK FOR HIV/AIDS, WHILE ALSO INTEGRATING HIV PREVENTION INTERVENTIONS INTO OUR OWN HEALTH PROGRAMS. 28184024 EMERGENCY PREPAREDNESS. PHS IS THE FISCAL AND ADMINISTRATIVE AGENT FOR THE NYCDOHMH FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS AND HOSPITAL PREPAREDNESS PROGRAM AGREEMENTS. THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM PROVIDES FUNDS TO STATES AND DIRECTLY FUNDED-CITIES TO PREPARE FOR AND RESPOND TO EMERGING PUBLIC HEALTH THREATS, INCLUDING ACTS OF BIOTERRORISM, AND TO SUPPORT REGIONAL READINESS INITIATIVES. THE HOSPITAL PREPAREDNESS PROGRAM SUPPORTS IMPROVEMENT OF SURGE CAPACITY AND ENHANCEMENT OF COMMUNITY AND HOSPITAL PREPAREDNESS FOR PUBLIC HEALTH EMERGENCIES. 9744156 NEIGHBORHOOD WIC. WIC IS A PROGRAM OF THE NEW YORK STATE DEPARTMENT OF HEALTH FUNDED BY THE UNITED STATES DEPARTMENT OF AGRICULTURE (USDA). PHS ADMINISTERS THE NEIGHBORHOOD WIC PROGRAM UNDER CONTRACT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH). WE HELP OVER 35,000 ELIGIBLE PREGNANT AND NURSING WOMEN AND CHILDREN UP TO AGE FIVE YEARS OF AGE TO ENROLL IN THE NEW YORK STATE WIC (WOMEN INFANTS AND CHILDREN) PROGRAM EACH YEAR. THROUGH OUR NEIGHBORHOOD WIC PROGRAM, WE PROVIDE NUTRITION EDUCATION SESSIONS LED BY WIC NUTRITIONISTS ON HEALTHY EATING AND PHYSICAL ACTIVITY, BREASTFEEDING SUPPORT, CHECKS AND EWIC CARDS TO PURCHASE NUTRITIOUS FOODS. WE ALSO MAKE REFERRALS TO OTHER SERVICES INCLUDING SNAP AND HEALTH INSURANCE (CO-LOCATED AT MANY OF OUR SITES), MEDICAL AND DENTAL PROVIDERS, CHILDCARE, AND OTHER NEEDED SERVICES. WE ADMINISTER NINE FREE-STANDING NEIGHBORHOOD WIC CENTERS IN THE BRONX, BROOKLYN, AND QUEENS. 49180591 1355592 49180591 1355592 232155970 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 176 0 1 603 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 23 23 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA CT FL IL MI MN NJ NY WI X KATHLEEN FITZPATRICK CFO 6466196408 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 ANDREW J WEISENFELD BOARD MEMBER 1.00 X 0 0 0 AYMAN EL-MOHANDES BOARD MEMBER 1.00 X 0 0 0 BARBARA A GREEN CHAIRPERSON 3.00 X X 0 0 0 CHRISTINA CHANG SECRETARY 1.00 X X 0 0 0 DAVID A GOULD BOARD MEMBER 1.00 X 0 0 0 DEBORAH M SALE BOARD MEMBER 2.00 X 0 0 0 DEBRA ALLIGOOD WHITE BOARD MEMBER 1.00 X 0 0 0 DIANA J MASON BOARD MEMBER 1.00 X 0 0 0 ERIK KAHN BOARD MEMBER (OUTGOING) 1.00 X 0 0 0 FLORENCE FRUCHER BOARD MEMBER 1.00 X 0 0 0 GEORGE GARFUNKEL BOARD MEMBER 2.00 X 0 0 0 GERRARD P BUSHELL BOARD MEMBER 2.00 X 0 0 0 JAMES KNICKMAN BOARD MEMBER 1.00 X 0 0 0 JAMES MANN BOARD MEMBER 1.00 X 0 0 0 JOAN M LEIMAN BOARD MEMBER 2.00 X 0 0 0 LINDA FRIED BOARD MEMBER 1.00 X 0 0 0 MITCHELL KATZ BOARD MEMBER 1.00 X 0 0 0 MUNAWAR AHMED BOARD MEMBER 1.00 X 0 0 0 OXIRIS BARBOT BOARD MEMBER 1.00 X 0 0 0 RAYMOND P JONES SR TREASURER 2.00 X X 0 0 0 ROBERT KAUFMAN BOARD MEMBER 2.00 X 0 0 0 SHOSHANNA SOFAER BOARD MEMBER 2.00 X 0 0 0 STEPHEN SIMCOCK VICE CHAIR 2.00 X X 0 0 0 TANYA SHAH BOARD MEMBER 1.00 X 0 0 0 CHRISTINE NOLLEN VP - CAMS AND CSO 35.00 X 231655 0 48156 DEREK COURSEN VP - INFORMATICS (OUTGOING) 35.00 X 23867 0 3758 JEANETTE LEE CHIEF OPERATING OFFICER 35.00 X 127021 0 12146 JOSEPH TRAPANI CHIEF FINANCIAL OFFICER 35.00 X 216744 0 10377 KATHLEEN FITZPATRICK CHIEF FINANCIAL OFFICER 35.00 X 197080 0 54648 LISA DAVID CHIEF EXECUTIVE OFFICER 35.00 X 369816 0 41912 LISA JAKOBSBERG VP - DEV. & COMM. 35.00 X 194580 0 46430 MARLA TEPPER VP - LEGAL AFF. GEN. COUNS 35.00 X 215506 0 8348 ZACHARIAH HENNESSEY VP - PUBLIC HEALTH PROGR. 35.00 X 218636 0 27241 BETTINA CARROLL SR. DIR. OF PROG. & CONTRA 35.00 X 167662 0 27235 EMILY MORGAN CHIEF OF STAFF 35.00 X 166879 0 32293 MANYA GIPSON SR DIRECTOR, PROCUREMENT&INITIATIVES 35.00 X 154209 0 24387 MARCI ROSA SR. DIR. MATERNAL & INF. H 35.00 X 159221 0 55136 PETER JENSEN CHIEF INFORMATION OFFICER 35.00 X 183170 0 22970 2626046 0 415037 41 0 1 0 ONCALL LLC 8044 MONTGOMERY ROAD SUITE 700 CINCINNATI OH 45236 VARIOUS OUTSOURCED SERVICES 407105 JOSLYN LEVY & ASSOCIATES 60 EAST 42 STREET SUITE 1750 NEW YORK NY 10165 PROGRAMMATIC CONSULTANT 349998 CID CONSTRUCTION SERVICES LLC 5716 WHITSETT AVE SUITE 5 NORTH HOLLYWOOD CA 91607 CONSTRUCTION 234399 WAGON WHEEL ASSOCIATES LLC 37 WAGON WHEEL LA DIX HILLS NY 11746 TEMPORARY STAFF 199106 MARKS PANETH LLP 685 3RD AVE NEW YORK NY 10017 AUDIT SERVICES 190100 9 769899 232051816 7293972 240115687 MEDICAID REVENUE 624100 743615 743615 PATIENT REVENUE 624100 571568 571568 1315183 44613 44613 54400 769899 68806 -14406 -14406 OTHER REVENUE 900099 40409 40409 40409 241501486 1355592 0 30207 X 2047924 376557 1506637 164730 25305790 22712430 2468658 124702 1697584 1474384 209888 13312 3070205 2712709 350347 7149 2340829 1976199 342183 22447 176214 158187 16053 1974 84552 84552 187564974 187045688 514370 4916 1318984 1306549 12435 1715900 1625124 84409 6367 495889 477331 17864 694 6168829 5970920 180449 17460 332317 314858 16361 1098 143872 136658 1672 5542 429302 310831 118471 223666 131653 92013 PROGRAM SUPPLIES 1988408 1930142 55718 2548 REPAIR AND MAINT 1950562 1420713 526404 3445 RECRUITING AND TRAINING 794383 610454 182667 1262 PURCHASED SERVICES 678181 555715 122382 84 983698 908868 67744 7086 239512063 232155970 6958842 397251 29960 21341 34841537 27147927 18286475 25068870 154792 172540 63544 134559 310610 179110 6348369 4647053 1608233 1701316 2682551 3315063 57977702 57740726 47615876 43408327 2650000 2650000 26700131 34253259 76966007 80311586 X -19080527 -22629680 92222 58820 -18988305 -22570860 57977702 57740726 X 1989423 -5571978 X X 0 1 X 1 1 1 X 198193324 232354171 266617321 253763515 240115687 1191044018 198193324 232354171 266617321 253763515 240115687 1191044018 1191044018 21467 16084 14650 23222 44613 120036 51893 94809 146702 1191310756 20048985 0.99980 0.99990 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 51,893. 2019 AMOUNT: $ 40,409. SPECIAL EVENT CONTRIBUTIONS - 2019 AMOUNT: $ 54,400. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 84552 0 0 84552 0 PART II-B, LINE 1: TO MONITOR AND INFORM PUBLIC HEALTH SOLUTIONS OF THE INTRODUCTION AND PROCESS OF BILLS OF INTEREST, ESPECIALLY IN THE HEALTH AND HUMAN SERVICES FIELD. TO ACT AS AN INTERFACE BETWEEN PUBLIC HEALTH SOLUTIONS AND STATE GOVERNMENT, IN GENERAL, PARTICULARLY THE HEALTH DEPARTMENT, THE OFFICE OF CHILDREN AND FAMILY SERVICES, AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, NEW YORK CITY COUNCIL AND HUMAN RESOURCES ADMINISTRATION, AND THE DEPARTMENT OF SOCIAL SERVICES AS REQUESTED FROM TIME TO TIME. 319565 -2782 316783 265530 52180 1855 319565 264603 927 265530 4339902 3902149 437753 2008467 744904 1263563 1701316 ADVANCES TO SUBCONTRACTORS 2836292 SECURITY DEPOSITS 477771 OTHER ASSETS 1000 3315063 ADVANCES FROM GOVERNMENT AND OTHER AGENCIES 12945988 PENSION LIABILITY 21307271 34253259 X 242174537 604245 604245 241570292 -68806 -68806 241501486 240185114 604245 68806 673051 239512063 0 239512063 PART X, LINE 2: PUBLIC HEALTH SOLUTIONS BELIEVES IT HAS NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2019 AND 2018 IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740 ("INCOME TAXES"), WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS. PUBLIC HEALTH SOLUTIONS IS NO LONGER SUBJECT TO FEDERAL OR STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE 2014. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EXPENSES NETTED IN REVENUE -68,806. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES NETTED IN REVENUE 68,806. GALA 824299 769899 54400 53310 15496 824299 769899 54400 53310 15496 68806 -14406 X X X X X X 0 0 0 0 0 0 0 0 0 CHRISTINE NOLLEN VP - CAMS AND CSO 231162 0 0 0 493 0 5381 0 42775 0 279811 0 0 0 JOSEPH TRAPANI CHIEF FINANCIAL OFFICER 212227 0 0 0 4517 0 8355 0 2022 0 227121 0 0 0 KATHLEEN FITZPATRICK CHIEF FINANCIAL OFFICER 195691 0 0 0 1389 0 11243 0 43405 0 251728 0 0 0 LISA DAVID CHIEF EXECUTIVE OFFICER 367836 0 0 0 1980 0 12793 0 29119 0 411728 0 0 0 LISA JAKOBSBERG VP - DEV. & COMM. 193215 0 0 0 1365 0 4357 0 42073 0 241010 0 0 0 MARLA TEPPER VP - LEGAL AFF. GEN. COUNS 213183 0 0 0 2323 0 6289 0 2059 0 223854 0 0 0 ZACHARIAH HENNESSEY VP - PUBLIC HEALTH PROGR. 218296 0 0 0 340 0 6609 0 20632 0 245877 0 0 0 BETTINA CARROLL SR. DIR. OF PROG. & CONTRA 165149 0 0 0 2513 0 9567 0 17668 0 194897 0 0 0 EMILY MORGAN CHIEF OF STAFF 164861 0 0 0 2018 0 5216 0 27077 0 199172 0 0 0 MANYA GIPSON SR DIRECTOR, PROCUREMENT&INITIATIVES 150010 0 0 0 4199 0 9867 0 14520 0 178596 0 0 0 MARCI ROSA SR. DIR. MATERNAL & INF. H 157127 0 0 0 2094 0 8813 0 46323 0 214357 0 0 0 PETER JENSEN CHIEF INFORMATION OFFICER 182467 0 0 0 703 0 8722 0 14248 0 206140 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED JOINTLY BY PUBLIC HEALTH SOLUTIONS' INDEPENDENT AUDITOR BASED ON THE INFORMATION GATHERED AS A RESULT OF THE YEAR-END AUDIT AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT WITH THE ASSISTANCE OF SENIOR MANAGERS FROM RELEVANT DEPARTMENTS, WHERE NECESSARY. A COMPLETE DRAFT IS THEN REVIEWED BY PUBLIC HEALTH SOLUTIONS' EXECUTIVE MANAGEMENT. THE DRAFT IS THEN PROVIDED TO THE AUDIT & COMPLIANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR PRESENTATION TO THE GOVERNING BOARD OF DIRECTORS. AFTER IS DISTRIBUTED TO THE ENTIRE BOARD, FORM 990 IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST STATEMENT AND MANAGEMENT MAINTAINS A RECORD OF ALL BOARD AFFILIATIONS. CONFLICT OF INTEREST SITUATIONS ARE PRECLUDED BY THE ADMINISTRATIVE PROCESSES IN PLACE AT PUBLIC HEALTH SOLUTIONS FOR ENTERING INTO CONTRACTS AND PURCHASING NON-CONTRACTED GOODS AND SERVICES. ALL CONTRACTING AND PURCHASING IS HANDLED BY APPROPRIATE PUBLIC HEALTH SOLUTIONS' STAFF IN ACCORDANCE WITH CORPORATE POLICIES AND PROCEDURES THAT REQUIRE COMPETITION AND INTERNAL APPROVALS AT VARIOUS LEVELS WITHIN THE ORGANIZATION. BOARD APPROVAL IS NOT REQUIRED TO ENTER INTO A CONTRACT OR MAKE A PURCHASE. FORM 990, PART VI, SECTION B, LINE 15 PUBLIC HEALTH SOLUTIONS REQUIRES A WORKFORCE CONSISTING OF DIVERSIFIED EDUCATIONAL AND TECHNICAL BACKGROUNDS IN THE AREAS OF CONCERN ADDRESSED BY PUBLIC HEALTH SOLUTIONS. COMPENSATION PHILOSOPHY ENCOURAGES INTERNAL FAIRNESS OF ITS PAY PROGRAM AND EXTERNAL COMPETITIVENESS IN THE VARIOUS MARKET PLACES FOR WHICH IT HIRES EMPLOYEES. BASED ON THE COMPENSATION COMMITTEE'S RECOMMENDATIONS, THE BOARD THEN MAKES A SALARY RECOMMENDATION FOR ITS CEO AND OFFICERS. THE OVERALL GOAL OF THE PUBLIC HEALTH SOLUTIONS COMPENSATION PHILOSOPHY IS TO ATTRACT HIGH-QUALITY EMPLOYEES AT VARIOUS LEVELS IN THE ORGANIZATION AND TO RETAIN THESE EMPLOYEES WITH A COMPREHENSIVE SALARY AND BENEFITS PLAN THAT IS COMPETITIVE IN THE MARKET PLACES FOR WHICH IT COMPETES FOR EMPLOYEES. AN ADDITIONAL GOAL IS TO CREATE CAREER LONGEVITY BY ADHERING TO THE PHILOSOPHY OF INTERNAL EQUITY, EXTERNAL COMPETITIVENESS, AND PERFORMANCE MANAGEMENT. WE AIM TO PAY ALL OUR EMPLOYEES, INCLUDING OFFICERS AND HIGHLY COMPENSATED EMPLOYEES, WITHIN THE MEDIAN OF THE MARKET(S) IN WHICH WE COMPETE FOR TALENT. PUBLIC HEALTH SOLUTIONS PLANS TO CONTINUE ITS PAY PHILOSOPHY FOR THE FUTURE AND WILL MONITOR THE MARKETPLACE FOR TALENT ON A REGULAR BASIS. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC HEALTH SOLUTIONS FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON WWW.GUIDESTAR.COM. THEY ARE ALSO AVAILABLE FROM THE NYS ATTORNEY GENERAL'S OFFICE. PUBLIC HEALTH SOLUTIONS MAKES ITS FINANCIAL STATEMENTS AND 990 AVAILABLE ON ITS WEBSITE WWW.HEALTHSOLUTIONS.ORG. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,905,332. MANAGEMENT AND GENERAL EXPENSES 514,370. FUNDRAISING EXPENSES 4,916. TOTAL EXPENSES 6,424,618. TITLE X: PROGRAM SERVICE EXPENSES 2,154,659. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,154,659. RYAN WHITE: PROGRAM SERVICE EXPENSES 78,979,115. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,979,115. HIV PREVENTION: PROGRAM SERVICE EXPENSES 29,937,415. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,937,415. CTL MASTER ADMINSTRATOR: PROGRAM SERVICE EXPENSES 26,750,652. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,750,652. EMERGENCY PREPAREDNESS: PROGRAM SERVICE EXPENSES 22,388,696. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,388,696. VARIOUS: PROGRAM SERVICE EXPENSES 20,929,819. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,929,819. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -5,571,978. PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.